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Guided self-help for functional (psychogenic) symptoms. A randomized controlled efficacy trial

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Functional (psychogenic or somatoform) symptoms are common in neurology clinics. , (CBT) can be an effective treatment, but there are major obstacles to its provision in practice. We tested the hypothesis that adding CBT-based guided self-help (GSH) to the usual care (UC) received by patients improves outcomes. Authors: M. Sharpe, MD,  J. Walker, MBChB, C. Williams, MD, J. Stone, PhD, J. Cavanagh, MD, G. Murray, PhD, I. Butcher, PhD, R. Duncan, MD, PhD, S. Smith, PhD and A. Carson, MD From the University of Edinburgh (M.S., J.W., J.S., G.M., I.B.), Edinburgh; University of Glasgow (C.W., J.C.), Glasgow; NHS Greater Glasgow and Clyde (R.D.), Glasgow; and NHS Lothian (S.S., A.C.), Edinburgh, Scotland, UK. Address correspondence and reprint requests to Professor Michael Sharpe, Psychological Medicine Research, Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK michael.sharpe@psych.ox.ac.uk Abstract Methods: We conducted a randomized t...